Form only to be completed if requested by the practice.
Your GP practice is still here to support you with your diabetes during the COVID-19 pandemic. Do not hesitate to contact us or the 111 service if you become unwell or need urgent advice.
To prepare for, or to request a remote diabetes review please complete the questions on this form. This will allow our clinical team to offer you the best advice specific to your health needs.
If you normally monitor your Blood Sugar levels, please use our Weekly Blood Sugar Logbook and pass it onto your GP if required.
If your GP/Diabetes Team considers that it is important to have a blood or urine test before this review appointment they will advise you in advance.